We found 5 providers with an interest in bloodless medicine/transfusion-free surgery and who accept United Healthcare Silver near Erie, PA.

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Dr. Raymond Francis Sekula Jr., MD
Specializes in Neurosurgery
201 State Street; 8th Floor
Erie, PA
 

Dr. Raymond Sekula is a neurosurgeon in Erie, PA, Pittsburgh, PA, and Grove City, PA. Dr. Sekula's clinical interests encompass skull base surgery and bloodless medicine/transfusion-free surgery. Patient reviews placed him at an average of 4.5 stars out of 5. He is in-network for United Healthcare Platinum, United Healthcare Navigate, and Coventry, as well as other insurance carriers. After attending Georgetown University School of Medicine, he completed his residency training at Allegheny General Hospital. Dr. Sekula (or staff) speaks Greek and Latin. Dr. Sekula is professionally affiliated with UPMC Hamot, UPMC Mercy, and UPMC Bedford Memorial.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Skull Base Surgery

Dr. Michael John Bonidie, MD
Specializes in Urogynecology
4th Floor, Hamot Professional Building; 104 E. 2nd Street
Erie, PA
 

Dr. Michael Bonidie's area of specialization is urogynecology. Patients rated him highly, giving him an average of 4.5 stars out of 5. In his practice, Dr. Bonidie focuses on bloodless medicine/transfusion-free surgery. Dr. Bonidie is in-network for United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate, as well as other insurance carriers. He graduated from the University of Pittsburgh School of Medicine. He completed his residency training at a hospital affiliated with Virginia Commonwealth University (VCU). Dr. Bonidie speaks Italian. His hospital/clinic affiliations include UPMC Hamot, UPMC Mercy, and UPMC Northwest.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Dr. Jonathan Brad Bellotte, MD
Specializes in Neurosurgery
3rd Floor, Hamot Professional Building; 104 E. 2nd Street
Erie, PA
 

Dr. Jonathan Bellotte is a specialist in neurosurgery. He is a graduate of West Virginia University School of Medicine. He trained at Allegheny General Hospital for his residency. Areas of particular interest for Dr. Bellotte include bloodless medicine/transfusion-free surgery. Dr. Bellotte's average rating from his patients is 4.5 stars out of 5. He is in-network for several insurance carriers, including United Healthcare Platinum, United Healthcare Navigate, and Coventry. His professional affiliations include UPMC Hamot and UPMC Northwest.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Dr. Daniel Israel Edelstone, MD
Specializes in Maternal and Fetal Medicine, Other, Gynecology
4th Floor, Hamot Professional Building; 104 E. 2nd Street
Erie, PA
 

Dr. Daniel Edelstone's specialties are maternal and fetal medicine (perinatology) and gynecology. Patients rated him highly, giving him an average of 4.5 stars out of 5. Areas of particular interest for Dr. Edelstone include high risk pregnancy and bloodless medicine/transfusion-free surgery. His professional affiliations include UPMC Hamot, UPMC Mercy, and Magee-Womens Hospital of UPMC. Dr. Edelstone is an in-network provider for United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate, in addition to other insurance carriers. He graduated from the University of Southern California (USC), Keck School of Medicine and then he performed his residency at the University of Pittsburgh Medical Center (UPMC). He speaks French.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, High Risk Pregnancy

Dr. David A Geller, MD
Specializes in Surgical Oncology, Other
2500 W. 12th Street
Erie, PA
 

Dr. David Geller is a cancer surgeon. His average patient rating is 4.5 stars out of 5. He has indicated that his clinical interests include bloodless medicine/transfusion-free surgery. Dr. Geller is in-network for several insurance carriers, including United Healthcare Platinum, United Healthcare Navigate, and Coventry. His education and training includes medical school at Northwestern University, Feinberg School of Medicine and residency at the University of Pittsburgh Medical Center (UPMC). Dr. Geller's hospital/clinic affiliations include UPMC East, UPMC Shadyside, and UPMC Mercy.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

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What is Bloodless Medicine?

For a variety of reasons, some people feel strongly about refusing blood transfusions and blood products. Bloodless medicine is an emerging medical practice that seeks to provide full medical care, including surgery, for these patients without the use of transfusions.

There are many legitimate reasons why a patient might wish to refuse blood products. Perhaps the most well known are the religious beliefs of certain groups, especially Jehovah’s Witnesses. But religious beliefs are not the only reason someone might choose bloodless medicine. Some of these reasons include:

  • Ethical decisions about the limited supply of blood available
  • Patients with rare blood types may not have access to donor blood
  • Fear of receiving the wrong blood type, which can cause a significant allergic reaction
  • Concerns about infectious diseases that could possibly infect the blood supply, such as HIV, Hepatitis B, Epstein-Barr, or Mad Cow Disease

When it comes to surgery, bloodless medicine succeeds by increasing the amount of red blood cells a patient produces before surgery, replacing any lost blood with fluids, carefully managing the patient’s health during surgery, and meticulously controlling blood loss so that as little bleeding as possible occurs.

Preparation begins by increasing the number of red blood cells the patient produces, so that any loss during surgery will not be as harmful. Patients may be instructed to eat iron-rich foods, given iron supplements, or given medications to increase their hemoglobin. The least invasive surgical procedures available will be chosen, as they require tiny incisions.

During surgery, patients are often positioned on a slope with their head lowered, to protect their brain from any blood loss. Their blood pressure may be lowered and their body temperature raised to reduce bleeding. They may be given 100% oxygen to help a reduced number of red blood cells carry sufficient oxygen to their body. Modern surgical tools are used that cauterize any broken blood vessels as soon as they are cut, in order to minimize blood loss.

Sometimes, a technique known as hemodilution is used. A portion of blood is removed from the patient at the beginning of surgery and replaced with fluids, diluting the blood circulating within the body. If bleeding occurs during surgery, the blood lost is this dilute blood, and not as critical. After surgery, the pure blood is replaced. In some cases blood that is lost during surgery can also be collected, cleaned, and returned to the patient.

Not all surgeries can be performed bloodless, but most can, including:

  • Open heart surgery
  • Liver transplants
  • Urinary tract surgery
  • Hysterectomy
  • Hip and knee replacements
  • Brain surgery

Despite all the precautions taken, during any surgery there is the possibility of unexpected hemorrhage. A hemorrhage, or severe episode of bleeding, can be life threatening without the help of transfused blood. Before any surgical procedure, it is important to make a plan with your physicians about what steps you would like them to take, or not take, in case the unexpected happens.

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